CYPRUS  APHRODITE   RACES

                            26   NOVEMBER    2017

                                 Start time        9:30

                       REGISTRATION FORM

 

To Register for the Aphrodite Races,please fill the   following form and submit it.

Otherwise print out the Entry Form and sent it to the organisers(either by e-mail or by fax)

All entries should be received by  1 November 2017. No registration transfer is allowed whatever the reasons.

Completed entries should be sent to:

CYPRUS HEALTH RUNNERS CLUB

P. O. Box 28167  ,  2091,Strovolos

Nicosia, Cyprus.

Tel/ Fax: +35722420559    

 E-mail:runclub@cytanet.com.cy

All entries should be received by  1 November 2017

 

 

 

RACE NAME:

   

Surname:

Name:

Sex:

Date of Birth:(dd/mm/year)

   

Address:

Postal-code:

City:

Country:

Nationality:

Phone:

E-mail:

T-Shirt:

Pasta Party:

Gala Dinner:

 

ENTRY  FEES:

Overseas Runners :             Half Marathon   40.00 ,                        Fun Run:20.00

Pasta Party    20.00  

Gala Dinner     25.00

 

Overseas entrants should pay by Visa or MasterCard

 
   

VISA-CARD:

Card Number:

   

PAYMENT:

        
EXPIRATION  DATE: MONTH :

YEAR:     

Cardholder name:

DECLARATION:

 I  declare that I will abide by rules and I accept that the organizers will not be liable for any loss, damage, action, claim, costs or expenses which may arise in consequence of my participation in this event.

 I declare that I will not compete in this race unless I will be in good health on the day of the race and that, in any event, I will only compete at my own risk. The organizers of the race have the right to refuse entry, and the decision of their officials will be final. I authorise the organizers to use any details or photographs for publicity purposes,if they wish so.

 I  hearby signify that I have read and agree to the terms of the above declaration.

 

  Name: